良性巨大肾上腺腺瘤自发性破裂。

Spontaneous rupture of a benign giant adrenal adenoma.

作者信息

Denzinger Stefan, Burger Maximilian, Hartmann Arndt, Hofstaedter Ferdinand, Wieland Wolf F, Ganzer Roman

机构信息

Department of Urology, University of Regensburg, Germany.

出版信息

APMIS. 2007 Apr;115(4):381-4. doi: 10.1111/j.1600-0463.2007.apm_605.x.

DOI:10.1111/j.1600-0463.2007.apm_605.x

PMID:17504308

Abstract

We report on a 50-year-old patient with a giant benign adenoma of the adrenal cortex, which ruptured spontaneously, leading to life-threatening retroperitoneal hemorrhage. Following emergency adrenalectomy with sparing of the ipsilateral kidney, an adenoma of the adrenal cortex with a diameter of 18 cm and a weight of 1400 g was found. A detailed literature search showed this to be the largest benign tumor of the adrenal cortex described so far. We discuss the diagnosis and treatment of this unusual tumor.

摘要

我们报告了一名50岁的患者，患有肾上腺皮质巨大良性腺瘤，该腺瘤自发破裂，导致危及生命的腹膜后出血。在进行保留同侧肾脏的急诊肾上腺切除术后，发现了一个直径18厘米、重1400克的肾上腺皮质腺瘤。详细的文献检索表明，这是迄今为止所描述的最大的肾上腺皮质良性肿瘤。我们讨论了这种罕见肿瘤的诊断和治疗。